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Home Politics & Law

Pattern or Practice, Patient or Suspect

Daily Remedy by Daily Remedy
August 8, 2021
in Politics & Law
0

Brutality, the word, is often associated with acts of aggression or violence.

But brutality does not necessarily have to be violent. In fact, brutality can be quite subtle – brutality can be in the bias.

A bias many who suffer from substance use dependencies find themselves facing when confronted by law enforcement. Are they suspects or patients? Are they suffering from addictions or craving as addicts?

Creating a conundrum that forms out of the lack of medical training among most law enforcement, and the underlying mental health conditions most patients with substance dependencies suffer from. That inevitably results in complex, high pressure situations that often distill into the one critical questions – in what instances should someone be treated like a patient or like a suspect?

For law enforcement, this is an incredibly difficult situation unfairly imposed upon them.

As Abraham Maslow said in 1966, “I suppose it is tempting, if the only tool you have is a hammer, to treat everything as if it were a nail.”

Law enforcement only recently began training to identify mental health conditions among patients and to defer traditional criminal enforcement tactics for more clinically sound, restorative approaches to justice. But the training is by no means standardized and inconsistently implemented across police departments across the country.

With the recent announcement by Attorney General Merrick Garland initiating a practice-or-pattern investigation on the Minneapolis police department, and a similar investigation on the Louisville police department, we should also consider the value of initiating an investigation to identify police practices that best address the patient-or-suspect conundrum in which many officers find themselves mired in.

Such an investigation would glean tremendous insight on the nuanced decision-making both law enforcement officers and mental health patients go through during high pressure situations, and would elucidate the subtle biases that lead certain officers to initiate medical interventions and others to initiate traditional law enforcement tactics.

Some may counter that the diverse population and varied police enforcement needs across different communities make it impossible to conduct such a study nationwide. A valid criticism – law enforcement must be locally-focused, to address specific needs unique to each community.

But we can still learn much by comparing communities, determining whether certain practices apply to other areas, or why certain practices only work in specific areas.

And develop models unique to each community that analyze police department activities and traditional crime metrics to the clinical outcomes for patients with substance use dependencies. These models would define patterns that emerge through when observing collective behaviors, among both law enforcement and mental health patients.

Patterns that can identify best practices among different police departments across different communities to improve the overall quality of law enforcement – helping police recognize that sometimes what appears to be a nail is not nail.

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Daily Remedy

Dr. Jay K Joshi serves as the editor-in-chief of Daily Remedy. He is a serial entrepreneur and sought after thought-leader for matters related to healthcare innovation and medical jurisprudence. He has published articles on a variety of healthcare topics in both peer-reviewed journals and trade publications. His legal writings include amicus curiae briefs prepared for prominent federal healthcare cases.

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Videos

This conversation focuses on debunking myths surrounding GLP-1 medications, particularly the misinformation about their association with pancreatic cancer. The speaker emphasizes the importance of understanding clinical study designs, especially the distinction between observational studies and randomized controlled trials. The discussion highlights the need for patients to critically evaluate the sources of information regarding medication side effects and to empower themselves in their healthcare decisions.

Takeaways
GLP-1 medications are not linked to pancreatic cancer.
Peer-reviewed studies debunk misinformation about GLP-1s.
Anecdotal evidence is not reliable for general conclusions.
Observational studies have limitations in generalizability.
Understanding study design is crucial for evaluating claims.
Symptoms should be discussed in the context of clinical conditions.
Not all side effects reported are relevant to every patient.
Observational studies can provide valuable insights but are context-specific.
Patients should critically assess the relevance of studies to their own experiences.
Engagement in discussions about specific studies can enhance understanding

Chapters
00:00
Debunking GLP-1 Medication Myths
02:56
Understanding Clinical Study Designs
05:54
The Role of Observational Studies in Healthcare
Debunking Myths About GLP-1 Medications
YouTube Video DM9Do_V6_sU
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2027 Medicare Advantage & Part D Advance Notice

Clinical Reads

BIIB080 in Mild Alzheimer’s Disease: What a Phase 1b Exploratory Clinical Analysis Can—and Cannot—Tell Us

BIIB080 in Mild Alzheimer’s Disease: What a Phase 1b Exploratory Clinical Analysis Can—and Cannot—Tell Us

by Daily Remedy
February 15, 2026
0

Can lowering tau biology translate into a clinically meaningful slowing of decline in people with early symptomatic Alzheimer’s disease? That is the practical question behind BIIB080, an intrathecal antisense therapy designed to reduce production of tau protein by targeting the tau gene transcript. In a phase 1b program originally designed for safety and dosing, investigators later examined cognitive, functional, and global outcomes as exploratory endpoints. The clinical question matters because current disease-modifying options primarily target amyloid, while tau pathology tracks...

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